Johnson, Vivian

Johnson, Vivian is an individual health care provider with primary practice located at 5104 Burns St , Detroit MI 48213-5914. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Johnson, Vivian can be contacted via phone (313) 350-6565.

Contact Information

Primary practice address
5104 Burns St Detroit MI 48213-5914
Phone: (313) 350-6565
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301406538 Michigan
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 4301406538 Michigan

Profile Details

NPI number 1497966378
LBN Legal business name Johnson, Vivian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Nov 19th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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